MEDICARE: DR. DENNIS HTYAN HWA HUM DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E4493	CA

General Provider Information

NPI Number	:	1649270620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS HTYAN HWA HUM DPM

Provider Business Mailing Address
First Line	:	39139 SUTTER DR
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-1140
Country	:	US
Telephone Number	:	510-494-0368
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 MIRANDA AVE
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94304-1207
Country	:	US
Telephone Number	:	650-493-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	11/06/2022

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